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Event Form
Anne Ray
2019-07-11T17:30:20-04:00
Event Form
If you are the organizer for an upcoming event please fill out this form to the best of your ability. This will help us move along the process for promoting the event to our membership. Thank you.
Your Name (Organizer)
*
First
Last
Email
Phone
Event Type
Networking Only
Luncheon
Other
Event Date
*
DD slash MM slash YYYY
Event Start Time
*
:
Hours
Minutes
AM
PM
AM/PM
Event End Time
*
:
Hours
Minutes
AM
PM
AM/PM
Member Registration Price
*
Non-Member Registration Price
*
VENUE INFORMATION
Event Venue
Event Venue Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Venue Contact Name, Phone, and Email Address
*
Please provide us with the contact information for the person at the venue we will be coordinating this event with.
What Costs are associated with this event?
Is a deposit required?
*
Yes
No
When is deposit due?
MM slash DD slash YYYY
Will there be drink tickets?
*
Yes
No
Expected Number of Guests
*
Parking Information
Are there any specific parking instructions for this event?
Please upload contract, venue logo, and any other photos to help with the promotion of this event.
Drop files here or
Select files
Accepted file types: jpg, png, pdf, doc, Max. file size: 20 MB, Max. files: 10.
SPEAKER INFORMATION
If this event does not have a speaker/presentation please put "NA" in required fields. Thank you.
Speaker's Name
*
If there is not a speaker for this event please put NA in the required fields.
First
Last
If this event has more than one speaker please explain the format of this event and list all speakers / panelists.
Speaker's Title
Company Name
Phone
Email
Presentation Title
*
We need a presentation title for every presenter. It helps us promote the event. If there is not a presentation please put NA in this field.
Please upload headshot and PPT if available.
Drop files here or
Select files
Accepted file types: jpg, png, pdf, doc, Max. file size: 20 MB, Max. files: 10.
Bio or any other information you would like to include about this presenter or their company
SPONSOR INFORMATION
Is there a sponsor(s)
Yes
No
Sponsor Name
Sponsor Contact Name, Email, and Phone
Amount of Sponsorship
Upload Sponsor's Logo
Drop files here or
Select files
Accepted file types: jpg, png, pdf, Max. file size: 10 MB.
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